BBB Serving Metro Atlanta, Athens & Northeast Georgia 2014 Student of Integrity Scholarship Entry Form
*Please complete each section. Write legibly. BBB cannot be held responsible for information not understood.
Home Address: ________________________________________
Daytime Phone Number: __________________________________
Student’s Cell Phone Number: ______________________________
Email Address: __________________________________________
Name of High School: _____________________________________
College You Will Be Attending (if known):______________________
Major (if known):_________________________________________
By signing below, you have acknowledged all of the following statements and have agreed to all terms. Please read carefully before signing and send any questions or concerns to Dottie Callina at email@example.com.
I. My entry, with the exception of my transcript, will become the property of the BBB Serving Metro Atlanta, Athens & Northeast Georgia and will be used for any purpose they deem necessary.
II. Any photos provided to BBB or made at any BBB event of myself or any guest(s) that accompany me may be published without my permission at BBB’s discretion.
III. The essay being submitted has been written without the help of any other individual nor have I plagiarized any author or individual in the content of the essay.
IV. I fully understand all criteria and rules of the 2014 Student of Integrity Scholarship program. All winners will be notified via a phone call after judging. All other students will receive an email. BBB will not be held responsible nor make any attempt to contact any student who does not provide contact information or who has provided incorrect contact information.
Do not sign unless fully understood.
Student Name (please print):_____________________________________
Student Signature: _____________________________________________
Any questions should be directed to Dottie Callina at 404-762-4406 or firstname.lastname@example.org.